DR. JIN PARK DNP
NPI 1952973174
Nurse Practitioner in Scottsdale, AZ

Q: What is Jin Park's NPI number?

The NPI number for Jin Park is 1952973174. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Q: What is Jin Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jin Park was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 15, 2021

13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 30, 2023, Sep 19, 2021, Jul 15, 2021 (3 updates tracked since 2021).

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About Dr. Jin Park Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JIN PARK DNP (NPI 1952973174) is an individual nurse practitioner in Scottsdale, Arizona, licensed in Arizona (252718) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1952973174

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDR. JIN PARKCredential: DNP

Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5452

Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5452 · (480) 301-8000

Phone(480) 301-8000

Sole ProprietorNo

Enumeration DateJuly 15, 2021

Last NPPES UpdateOctober 30, 20233 updates tracked since enumeration

NPPES CertifiedOctober 30, 2023

✔ NPI 1952973174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AZ · 252718

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

13400 E SHEA BLVD, Scottsdale, AZ 85259

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMITKUMAR MEHTA MD

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